Provider Demographics
NPI:1588665897
Name:GRIFFITH, JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:99 CANAL LANDING BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5112
Mailing Address - Country:US
Mailing Address - Phone:585-247-4770
Mailing Address - Fax:585-247-4268
Practice Address - Street 1:99 CANAL LANDING BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5112
Practice Address - Country:US
Practice Address - Phone:585-247-4770
Practice Address - Fax:585-247-4268
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY232679208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery